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2004, Number 1

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Rev Med Hosp Gen Mex 2004; 67 (1)

Unusual presentation of non-damaging hyaline membrane disease in extralobar pulmonary sequestration

Villalvazo-Cordero L, Durán-Padilla MA
Full text How to cite this article

Language: Spanish
References: 9
Page: 29-31
PDF size: 91.21 Kb.


Key words:

Extralobar pulmonary sequestration, hyaline membrane disease.

ABSTRACT

We report a case of a 32.5 week gestational newborn who died of respiratory failure 18 hours after birth. The autopsy showed a sequestered lung lobe directly irrigated by a branch of the aorta. Histologically, we found hyaline membrane disease (HMD) in the lung tissue irrigated by the pulmonary artery and absence of HMD in the sequestered lung irrigated by the aorta. In the few cases reported in the literature on the association of HMD and extralobar pulmonary sequestration, the lung tissue irrigated by the pulmonary artery showed HMD, and not so the sequestered lung, suggesting greater importance on ventilation in the pathogenesis of HMD, whose exact causes are unknown.


REFERENCES

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  2. Pryce DM. Lower accessory pulmonary artery with intralobular sequestration of lung: A report of seven cases J Pathol 1946; 58: 457-467.

  3. Rosado de Christenson M, Frazier AA, Stocker JT. Extralobar sequestration radiologic pathologic correlation. Radiographics 1993; 13: 425.

  4. De Paredes CG, Pierce WS, Johnson DG et al. Pulmonary sequestration in infants and children: A 20-year experience and review of the literature. J Pediatr Surg 1970; 5: 136.

  5. Sauvanet A, Regnard JF, Calanducci F et al. Pulmonary sequestration. Surgical aspects based on 61 cases. Rev Pneumol Clin 1991; 47: 126-32.

  6. Masud-Yunes-Zarraga, Rodríguez-Aguilar DF, Velazquez-Quintana N, Villanueva-Salinas J. Enfermedad de membrana hialina. Bol Med Hosp Infant Mex 1993; 50: 284–293.

  7. Bliek AJ. Extralobar lung sequestration associated with fatal neonatal respiratory distress. Thorax 1971; 26: 125.

  8. Stocker JT, Kagan-Hallet K. Extralobar pulmonary sequestration. Analysis of 15 cases. Am J Clin Pathol 1979; 6: 917-925.

  9. Pegado CS, García AG. Morphology of pulmonary extralobar sequestration in neonatal death by hyaline membrane disease. Pediatr Pathol 1994; 14: 781-786.




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C?MO CITAR (Vancouver)

Rev Med Hosp Gen Mex. 2004;67